Individual
MR. TERRY RICHARD SKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNP
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3395
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30004493
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
349032
CA
Other
Enumeration date
07/07/2005
Last updated
07/22/2007
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